HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST/BE COMPLETED FOR APPLICATION TO BE ACCEPTED 7
Date: /�`� Permit Number:TIT—
RECEA D
Building Permit Application N 3 2016
Planning and Development Services JA
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT,LOCATIO
Address: 1717 Primrose Ct Port Saint Lucie, FL 34952
Legal Description: Lake Lucie Estates Plat No. One
Property Tax ID#: 3426-703-0150-000-1 Lot No.136
Site Plan Name: Block No.
Project Name: Reroof-1717 Primrose Ct
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,'0F WORK.
Tear off and reroof shingles, using AF`Vt co) ,p �tee. Shy 12 �( G r Co bra I�O��CC'vevI
310 \,-
CONSTRUCTION.,INFORMATION:
Acid itiona workto> e nertormed un er this permit—check a appy:
HVAC 1=.1 Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric 0 Plumbing ❑Sprinklers Flenerator R1 Roof
Total Sq. Ft of Construction: 4000 S . Ft. of First Floor:
Cost of Construction:$ 13,400.00 Utilities:]Sewer E]Septic Building Height: 1
OWNER/L-ESSEE .,' ,CONTRACTOR:.; a._
Name Dean Ruscoe Name: John Manera
Address:1717 Primrose Court Company: Florida State Roof Systems INC
City: Port Saint Lucie State:FL Address: 140 Private Place
Zip Code: 34952 Fax: City: West Palm Beach State:FL
Phone No.772-708-3216 Zip Code: 33413 Fax:
E-Mail: Phone No. 561-891-3333
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CCC1329823
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
.SUPPLEMENTAL:CONSTRUCTION LIEN LAW INFORMATION..,.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of'C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSaint Lucie COUNTY OFPaimseach
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of ,rLi 200 b by this 'L day of Zl 'Q" -P .20 1 JQ by
Y� 4 M�Mr.M
(Name f ' 5cc ( p k` iq' . dging)JOANNE II�EEHI•!
�, a5liltl,Mate of Florida Name of erso c o f
="' Commission No.EE 842236 = '* Notary Public,State of For
Commission Expires 11123116
` ommission No.EE 842236
4tF OQi
Co ion Expires 11/23116
(Signature of Notary Public-State of Florida) (Si na ure of N
Personally Known OR Prod u Identi 'c tion Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS